以臨床路徑為基礎(chǔ)的細(xì)致化干預(yù)對(duì)類風(fēng)濕關(guān)節(jié)炎患者睡眠質(zhì)量的影響

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Impacts of Clinical Pathway-based Detailed Interventions on Sleep Quality in Patients with Rheumatoid Arthriti

JIANG Liping，HUANG Qiuju

（TheFirst Affiliated Hospital of Xiamen University，Xiamen 361oo3，China）

AbstractObjective：Toexploretheimpactsofimplementingclinical pathways-baseddetailedinterventionsontheimprovement of lifequalityandslepqualityinpatientswithrheumatoidarthritis.Methods：Atotalof98patients withrheumatoidarthritisadmitedtotheRheumatologyandImmunologyDepartmentof theFirstAfiliatedHospitalofXiamen UniversityfromJune2022to February2O24 wereselectedas thestudysubjects.Theywererandomlydivided intoacontrol groupandanobservationgroupusingarandomnumbertablemethod，with49patients ineach group.Thecontrol groupreceivedroutinenursing，whiletheobservationgroupreceiveddetailedinterventions basedonclinicalpathways.TePitsburgh SleepQualityIndex（PSQI）wasused tocomparethechanges insleepqualitybeforeandafter intervention.The Numerical Rating Scale（NRS）wasusedtocompare thepain perception beforeandafterintervention.Andtheslepqualityqualficationrateofthetwogroupsof patientswas compared.Results：Afterintervention，theNRSandPSQIscoresoftheoservationgroup weresignificantlylowerthanthoseof the control groupandthequalifiedrateofslepqualitywassignificantlyhigherthanthatof thecontrolgroup.Thediferencesbetween the two groups were statistically significant（ P<0.05 ）. Conclusion：The implementation of detailed interventions based on clinical pathways inpatientswithhumatoidartritishassignificant efects，fectivelyimprovingslpqualityandreducingpain，nd is worthy of clinical promotion and application.

KeywordsRheumatoid arthritis；Clinical pathway；Meticulous nursing；Slepquality；Pain；Autoimmune diseases；Chronic disease

中圖分類號(hào)：R473.5;R338.63 文獻(xiàn)標(biāo)識(shí)碼：A doi：10.3969/j.issn.2095-7130.2025.02.045

類風(fēng)濕關(guān)節(jié)炎主要表現(xiàn)為關(guān)節(jié)腫脹、疼痛、活動(dòng)受限和晨僵等癥狀。（剩余5176字）